Nursing Open published by John Wiley &amp; Sons Ltd.Aim This study assessed the practice of pica among pregnant women in the Ho Teaching Hospital. Design Descriptive cross-sectional. Methods Systematic sampling technique was used to recruit 286 pregnant women. Questionnaire was used to collect data. Data entered into Statistical Package for Social Sciences for analysis. Result Of the 286 pregnant women, 21.2% and 17.8% considered white clay and ice respectively as nutritious. Prevalence of pica was 47.5%, while 44.9% of pregnant women who practised pica reported they feel uncomfortable when they do not eat pica as 63.3% considered intake of pica as harmful. Among women who received education against pica practice, 49.4% have ever taken pica as 50.9% of them with education on effects of pica were currently engaged in the activity (χ 2&nbsp;=&nbsp;1.93 p&nbsp;=&nbsp;.17). Conclusion Health professionals, especially midwives must intensify education on effects of pica among pregnant women. https://www.selleckchem.com/products/1-methylnicotinamide-chloride.html © 2020 The Authors. Nursing Open published by John Wiley &amp; Sons Ltd.Aim Increasing numbers of older gravidas compel research into best practices for their labour-related outcomes. Responding to this need, this study sought to develop and evaluate a programme for older primigravidas. Design The authors developed a simulated practice programme for older primigravidas and tested its effects. Methods A non-equivalent control group pre- and post-test design was used with 49 community-dwelling primigravidas. The programme taught the stages of labour using a realistic scenario-based practice and a debriefing session. Data were collected between June and September 2015. Participants were divided into intervention (N&nbsp;=&nbsp;25) and control (N&nbsp;=&nbsp;24) groups. Postintervention group effects were analysed with independent t tests. Results The intervention group's levels of anxiety and stress decreased and their knowledge and self-confidence increased. The intervention group's labour duration was also shorter than that of the control group. © 2020 The Authors. Nursing Open published by John Wiley &amp; Sons Ltd.Aim To appraise patient safety culture in emergency departments of Iranian public and private hospitals. Design A comparative cross-sectional survey design was used. Methods This cross-sectional study was conducted from January-March 2019. For data collection, the Hospital Patient Safety Culture (HSOPSC) questionnaire was employed. The study sample comprised 256 participants. Independent t test and analysis of variance were performed to report the mean differences in total patient safety culture perception according to the participants' characteristics&nbsp;and&nbsp;according to hospital ownership. Results There was no significant difference in overall perceptions of patient safety culture in public and private sectors (2.94 vs. 2.84, p&nbsp;&gt;&nbsp;.05). There are no solid areas regarding patient safety found neither in public nor in private sectors. Out of 12 dimensions of patient safety culture, different perceptions of nurses working in public and private hospitals belonged to "Organizational learning" (t = 2.13,&nbsp;p&nbsp;=&nbsp;.034) and "Handoffs and transitions" (t = 2.91,&nbsp;p&nbsp;=&nbsp;.004). Regarding the participants' characteristics, no significant difference was observed as to the perspectives of nurses on patient safety culture. However, there was a meaningful difference in the attitudes of nurses working in public hospitals according to their employment status (t = 2.07,&nbsp;p&nbsp;=&nbsp;.039). © 2020 The Authors. Nursing Open published by John Wiley &amp; Sons Ltd.Aim To investigate patient experiences with peripherally inserted venous catheters, namely PICC lines and Midlines, as well as the influence of socio-demographic variables, length of stay, comorbidity and complications on these experiences. Design The study had a descriptive, multicentre, cross-sectional design. Methods We used a questionnaire to investigate patient experiences (N&nbsp;=&nbsp;359). Results Patients experiences were not optimal on each of the items in the questionnaire. Nevertheless, few respondents would have preferred a traditional peripheral venous catheter instead. Moreover, free-text answers indicated that patients were very satisfied with their catheter. Results also indicate that the hospitals have different approach when selecting a PICC line or a Midline as route of choice. The only factor associated with patient experiences was "complications." Conclusion Even though patients reported of several disadvantages with the PICC line/Midline, findings indicate that they would have chosen this again. PICC lines and Midlines are beneficial from the patients' perspective, even though they have disadvantages. © 2020 The Authors. Nursing Open published by John Wiley &amp; Sons Ltd.Aim The interventions based on adopting a healthy lifestyle during pregnancy have conflicting results. This study aimed to compare health-promoting, dietary patterns and social support in normal and overweight pregnant women. Design An unmatched case-control design was used. Methods A total of 360 pregnant women were selected using multistage cluster sampling and divided into two groups of normal and overweight cases. Data were collected using demographic and obstetrics characteristics, health-promoting lifestyle, perceived social support and eating behaviour questionnaires. Results The evaluation of the health-promoting behaviours and dietary patterns demonstrated a significant difference between the mean of total scores and their subdomains including self-actualization, nutrition, consumption of healthy and low-fat foods, fast food and sweets, as well as emotional eating and accidental planning. There was no significant difference between the two groups about social support. © 2020 The Authors. Nursing Open published by John Wiley &amp; Sons Ltd.Aim To describe and define a concept of confidence in the context of older people living with frailty, which is important to the worldwide healthy-ageing agenda preventing decline in independence and well-being. Design Concept analysis informed by Walker and Avant's eight-stage approach. Methods Electronic databases (MEDLINE, CINAHL and PsychINFO) from 1994-2018 were searched. Published studies exploring confidence and excerpts of papers referencing older people, frailty and confidence informed the concept analysis. Extracted attributes informed model case and additional case development. Appraisal of antecedents, consequences and empirical referents informed the final concept's construction. Results Three overall defining attributes of confidence were identified in this concept analysis physical, psychological and social. A central feature is personal control, influencing internal and external factors. These control factors can be enabling factors (positive factors) or dis-enabling factors (negative factors), affecting the frail older persons overall physical health and mental well-being.